Chronic heart failure: syndrome or disease?

The authors of the study analyze various definitions of chronic heart failure (CHF). CHF, having many faces, despite the consensus concerning the paradigm of its pathogenesis, is given different definitions, using both the syndromic and nosological approaches. Most authors share a view of CHF as the...

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Main Authors: V. V. Kalyuzhin, A. T. Teplyakov, G. E. Chernogoryuk, E. V. Kalyuzhina, I. D. Bespalova, N. N. Terentyeva, I. K. Livshits, V. L. Ostanko, O. F. Sibireva, N. Yu. Chasovskikh
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2020-04-01
Series:Бюллетень сибирской медицины
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Online Access:https://bulletin.ssmu.ru/jour/article/view/2693
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author V. V. Kalyuzhin
A. T. Teplyakov
G. E. Chernogoryuk
E. V. Kalyuzhina
I. D. Bespalova
N. N. Terentyeva
I. K. Livshits
V. L. Ostanko
O. F. Sibireva
N. Yu. Chasovskikh
author_facet V. V. Kalyuzhin
A. T. Teplyakov
G. E. Chernogoryuk
E. V. Kalyuzhina
I. D. Bespalova
N. N. Terentyeva
I. K. Livshits
V. L. Ostanko
O. F. Sibireva
N. Yu. Chasovskikh
author_sort V. V. Kalyuzhin
collection DOAJ
description The authors of the study analyze various definitions of chronic heart failure (CHF). CHF, having many faces, despite the consensus concerning the paradigm of its pathogenesis, is given different definitions, using both the syndromic and nosological approaches. Most authors share a view of CHF as the final stage (outcome or complication) of many diseases in which there is impairment of ventricular filling or ejection of blood, i.e. as a syndrome, and not an independent nosological form. Nevertheless, at the beginning of the XXI century leading Russian specialists in heart failure presented a reasoned point of view on CHF not only as the final stage of the cardiovascular continuum, complicating the course of a disease of the cardiovascular system, but also as an independent nosological form. This approach, which contradicts the standard rules for the formulation of the final clinical and pathological diagnoses, as well as the agreed positions of the International Statistical Classification of Diseases and Related Health Problems, has been the subject of reasonable criticism. Since the identification of the underlying cause of heart failure is crucial for therapeutic reasons, the only correct view is that of CHF as a syndrome, the detailed description of which in clinical diagnosis is an important intranosological characteristic that allows building the most effective differentiated therapy and accurately determining the prognosis of the disease.
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spelling doaj-art-10f8e52a76df47aba8f729623ae7d0db2025-08-20T03:37:41ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842020-04-0119113413910.20538/1682-0363-2020-1-134-1391606Chronic heart failure: syndrome or disease?V. V. Kalyuzhin0A. T. Teplyakov1G. E. Chernogoryuk2E. V. Kalyuzhina3I. D. Bespalova4N. N. Terentyeva5I. K. Livshits6V. L. Ostanko7O. F. Sibireva8N. Yu. Chasovskikh9Siberian State Medical UniversityCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesSiberian State Medical UniversitySiberian State Medical UniversitySiberian State Medical UniversitySurgut State UniversitySiberian State Medical UniversitySiberian State Medical UniversitySiberian State Medical UniversitySiberian State Medical UniversityThe authors of the study analyze various definitions of chronic heart failure (CHF). CHF, having many faces, despite the consensus concerning the paradigm of its pathogenesis, is given different definitions, using both the syndromic and nosological approaches. Most authors share a view of CHF as the final stage (outcome or complication) of many diseases in which there is impairment of ventricular filling or ejection of blood, i.e. as a syndrome, and not an independent nosological form. Nevertheless, at the beginning of the XXI century leading Russian specialists in heart failure presented a reasoned point of view on CHF not only as the final stage of the cardiovascular continuum, complicating the course of a disease of the cardiovascular system, but also as an independent nosological form. This approach, which contradicts the standard rules for the formulation of the final clinical and pathological diagnoses, as well as the agreed positions of the International Statistical Classification of Diseases and Related Health Problems, has been the subject of reasonable criticism. Since the identification of the underlying cause of heart failure is crucial for therapeutic reasons, the only correct view is that of CHF as a syndrome, the detailed description of which in clinical diagnosis is an important intranosological characteristic that allows building the most effective differentiated therapy and accurately determining the prognosis of the disease.https://bulletin.ssmu.ru/jour/article/view/2693chronic heart failuredefinitioninternational statistical classification of diseases and related health problemssyndromediseaserules of diagnosis
spellingShingle V. V. Kalyuzhin
A. T. Teplyakov
G. E. Chernogoryuk
E. V. Kalyuzhina
I. D. Bespalova
N. N. Terentyeva
I. K. Livshits
V. L. Ostanko
O. F. Sibireva
N. Yu. Chasovskikh
Chronic heart failure: syndrome or disease?
Бюллетень сибирской медицины
chronic heart failure
definition
international statistical classification of diseases and related health problems
syndrome
disease
rules of diagnosis
title Chronic heart failure: syndrome or disease?
title_full Chronic heart failure: syndrome or disease?
title_fullStr Chronic heart failure: syndrome or disease?
title_full_unstemmed Chronic heart failure: syndrome or disease?
title_short Chronic heart failure: syndrome or disease?
title_sort chronic heart failure syndrome or disease
topic chronic heart failure
definition
international statistical classification of diseases and related health problems
syndrome
disease
rules of diagnosis
url https://bulletin.ssmu.ru/jour/article/view/2693
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AT atteplyakov chronicheartfailuresyndromeordisease
AT gechernogoryuk chronicheartfailuresyndromeordisease
AT evkalyuzhina chronicheartfailuresyndromeordisease
AT idbespalova chronicheartfailuresyndromeordisease
AT nnterentyeva chronicheartfailuresyndromeordisease
AT iklivshits chronicheartfailuresyndromeordisease
AT vlostanko chronicheartfailuresyndromeordisease
AT ofsibireva chronicheartfailuresyndromeordisease
AT nyuchasovskikh chronicheartfailuresyndromeordisease